title: Takotsubo cardiomyopathy precipitated by maxillofacial surgery and general anesthesia: a case report and review of literature.
abstract: OBJECTIVE
  Takotsubo cardiomyopathy (TCM) is a syndrome characterized by a transient episode of heart failure. The specific etiology of this condition is widely speculated. The purpose of this case report and literature review was to investigate the incidence of TCM with regard to general anesthesia, especially those cases involving operative procedures within the realm of oral and maxillofacial surgery. It is intended that the present case serve as a guide for fellow surgeons to identify and manage this syndrome.
  
  
  METHODS
  The present case was explained and a review of the literature was performed. PubMed was used to search for articles involving surgical procedures under general anesthesia, including oral and maxillofacial surgery.
  
  
  RESULTS
  It was determined that TCM rarely occurs in conjunction with surgical procedures under general anesthesia, especially those of the head and neck region.
  
  
  CONCLUSIONS
  TCM is an uncommon medical condition with significant morbidity and mortality when managed incorrectly. The occurrence of this syndrome in relation to oral and maxillofacial procedures is also rare, although it is imperative that surgeons be able to recognize and treat this condition appropriately.
authors.affiliation: Resident, Department of Oral and Maxillofacial Surgery, Thomas Jefferson University Hospital, Philadelphia, PA. Electronic address: karl.bruckman@jeffersonhospital.org.
authors.forename: Karl C
authors.initials: KC
authors.lastname: Bruckman
authors.forename: Daniel I
authors.initials: DI
authors.lastname: Taub
authors.forename: Stephen E
authors.initials: SE
authors.lastname: McNulty
mesh_terms: D000063:Accidents, Traffic; D000768:Anesthesia, General / Q000009:adverse effects*; D005146:Facial Asymmetry / Q000209:etiology; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007180:Incisor / Q000293:injuries; D008310:Malocclusion / Q000209:etiology; D008446:Maxillofacial Injuries / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D054549:Takotsubo Cardiomyopathy / Q000209:etiology*; D018677:Tooth Injuries / Q000601:surgery; D055815:Young Adult